Krystal Lynn Goula, APN in Pomona, NJ - Medicare Nurse Practitioner

Krystal Lynn Goula, APN is a medicare enrolled "Nurse Practitioner - Family" in Pomona, New Jersey. Her current practice location is 65 W Jimmie Leeds Rd, Pomona, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 652-1000.

Krystal Lynn Goula is licensed to practice in New Jersey (license number 26NJ14911600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699484279.

Contact Information

	Krystal Lynn Goula, APN
	65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102
	(609) 652-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Krystal Lynn Goula
Gender	Female
Speciality	Nurse Practitioner - Family
Location	65 W Jimmie Leeds Rd, Pomona, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699484279
Provider Enumeration Date: 11/22/2022
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4486000536
Enrollment ID: I20231025001783

Medical Identifiers

Medical identifiers for Krystal Lynn Goula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699484279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NR18214800 (New Jersey)	Secondary
363LF0000X	Nurse Practitioner - Family	26NJ14911600 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Krystal Lynn Goula allows following entities to bill medicare on her behalf.

Entity Name	Thompson Medical And Chiropractic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942755103 PECOS PAC ID: 5395008163 Enrollment ID: O20180409000295

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krystal Lynn Goula is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Krystal Lynn Goula, APN 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 Ph: (609) 652-1000	Krystal Lynn Goula, APN 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 Ph: (609) 652-1000

Reviews and Comments

Nurse Practitioner Nurses in Pomona, NJ

Sara M Neyers, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Jimmie Leeds Road, Atlanticare Regional Medical Center, Pomona, NJ 08240 Phone: 609-652-1000
Jillian Ullo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-748-7089
Phillip Campanella, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000
Ms. Tammy Delores Hart, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000
Amy Dow, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000
Cory Robert Hall, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-652-1000
Sarah M Dean, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 W Jimmie Leeds Rd, Pomona, NJ 08240 Phone: 609-404-7345

Krystal Lynn Goula, APN - Medicare Nurse Practitioner in Pomona, NJ